Individual provider Active NPI

Christopher M Ward, PSY.D.

  • Clinical Psychologist
  • Nixa, MO
National Provider Identifier
1245631340
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2014031837 Issued in MO
Practice address
1868 N Commerce Dr
Nixa, MO 65714-7603
Phone
(417) 501-6867
Fax
(417) 374-0047
NPI assigned
Sep 8, 2014
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2014031837 MO Primary

Addresses

Primary practice location

1868 N Commerce Dr
Nixa, MO 65714-7603

Mailing address

1868 N Commerce Dr
Nixa, MO 65714-7603
Phone (417) 501-6867

Other practice location 1

406 College St
Suite #2
Greenfield, MO 65661-1346
Phone (417) 637-1476 ext. 12

Other practice location 2

1540 E Evergreen St
Springfield, MO 65803-4300
Phone (417) 823-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512001422 MO Practitioner - Clinical Psychologist 0648599795 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014031837MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Primrose Nephrology, Inc. Current Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Mar 1, 2024 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

618 N Benton Ave
Springfield, MO 65806
Phone 41785115511015

Interoperability endpoints

  • Direct secure messaging: christopher.ward.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1245631340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 N COMMERCE DR",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147603",
            "telephone_number": "417-501-6867",
            "fax_number": "417-374-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 N COMMERCE DR",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147603",
            "telephone_number": "417-501-6867",
            "fax_number": "417-374-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 College St",
            "address_2": "Suite #2",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MO",
            "postal_code": "656611346",
            "country_code": "US",
            "telephone_number": "417-637-1476 x12",
            "fax_number": "866-520-5586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658034300",
            "country_code": "US",
            "telephone_number": "417-823-2900",
            "fax_number": "417-886-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2014031837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

Verify at the official NPI Registry.